ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
28-year-old female, gravida 2 para 1 at 30 weeks gestation, cramping, pelvic pressure
Question 1 of 5
A nurse is caring for a 28-year-old female client in the emergency department. The client is experiencing symptoms suggesting the risk of preterm birth. The nurse should identify that the client is at the greatest risk for preterm birth due to fetal fibronectin: __ and __.
Correct Answer: A,B
Rationale: Elevated fetal fibronectin and negative Nitrazine/ferning tests indicate preterm birth risk despite no membrane rupture.
Extract:
Newborn for PKU test
Question 2 of 5
A nurse is collecting a blood phenylketonuria (PKU) test for a newborn prior to discharge. The newborn's guardian asks the nurse what a positive PKU test would mean. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: PKU involves an inability to metabolize phenylalanine, an amino acid, which can lead to brain damage if untreated.
Extract:
Newborn
Question 3 of 5
A nurse is assessing a newborn. Which of the following findings indicates a need to check the newborn's blood glucose level for hypoglycemia?
Correct Answer: D
Rationale: Hypotonia is a specific sign of hypoglycemia in newborns, necessitating a blood glucose check to confirm and manage low sugar levels.
Extract:
Newborn exposed to active genital herpes simplex virus during birth
Question 4 of 5
A nurse is planning care for a newborn who was exposed to active genital herpes simplex virus (HSV) during birth. Which of the following nursing actions should the nurse anticipate?
Correct Answer: D
Rationale: Surface cultures detect HSV presence, guiding antiviral treatment to prevent complications.
Extract:
Client 6 hr postpartum, tachycardic, cool skin, excessive bleeding
Question 5 of 5
A nurse is assessing a client who is 6 hr postpartum, tachycardic, and has cool skin. The client reports that they have been bleeding excessively. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Oxytocin promotes uterine contractions to reduce postpartum bleeding, addressing the excessive bleeding.